Active NPI
Stephanie Infantino
- Pharmacist
- Meadville, PA
National Provider Identifier
1467052183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP446831
- Practice address
- 16086 Conneaut Lake Rd
Meadville, PA 16335-3884 - Phone
- (814) 724-6351
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP446831 | PA | Primary |
Addresses
Primary practice location
16086 Conneaut Lake Rd
Meadville, PA 16335-3884
Mailing address
151 Lake Haven CT
Erie, PA 16511-1601
Phone (724) 366-1869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP446831 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Pharmacy Limited Partnership | Current | Accepting new patients | |
| Bayside Pharmacy Limited Partnership | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Institutional Pharmacy
- Erie, PA
- NPI 1245800374
-
- Community/Retail Pharmacy
- Erie, PA
- NPI 1548268022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1467052183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LAKE HAVEN CT",
"city": "ERIE",
"state": "PA",
"postal_code": "165111601",
"telephone_number": "724-366-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16086 CONNEAUT LAKE RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353884",
"telephone_number": "814-724-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTINO",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
- Billie-Jo Hyde, PHARMD, RPH, BCPS
- Iadeluca Chiropractic Center Meadville PC
- Tiffany Ickiewicz
- Id Care and Travel Health of Northwest PA, P.C.
- Independence Care of Erie
- Integrative Therapies Meadville
- Interim Healthcare of Pittsburgh, Inc.
- Interim Healthcare of Pittsburgh, Inc.
- Yuriy Iskrenko, DO
- Jack K. Vandervort
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.